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Vanderloo Family Medicine, PLLC

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Company Details

Name: Vanderloo Family Medicine, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 22 Aug 2019 (6 years ago)
Business ID: 1186838
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 742 Magnolia St, Ste AMadison, MS 39110

Agent

Name Role Address
William J. Dukes Agent 1000 Highland Colony Parkway, Suite 5203, Ridgeland, MS 39157

Organizer

Name Role Address
William J. Dukes Organizer 1000 Highland Colony Parkway, Suite 5203, Ridgeland, MS 39157

Manager

Name Role Address
John Vanderloo MD Manager 166 Brookstone Way, Madison, MS 39110

Member

Name Role Address
John Vanderloo MD Member 166 Brookstone Way, Madison, MS 39110

President

Name Role Address
John Vanderloo MD President 166 Brookstone Way, Madison, MS 39110

National Provider Identifier

NPI Number:
1235768755
Certification Date:
2020-04-06

Authorized Person:

Name:
JOHN P.F.H. VANDERLOO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6014299297

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-16 Annual Report For Vanderloo Family Medicine, PLLC
Annual Report LLC Filed 2024-04-12 Annual Report For Vanderloo Family Medicine, PLLC
Annual Report LLC Filed 2023-04-11 Annual Report For Vanderloo Family Medicine, PLLC
Annual Report LLC Filed 2022-04-07 Annual Report For Vanderloo Family Medicine, PLLC
Annual Report LLC Filed 2021-04-13 Annual Report For Vanderloo Family Medicine, PLLC
Annual Report LLC Filed 2020-04-15 Annual Report For Vanderloo Family Medicine, PLLC
Formation Form Filed 2019-08-22 Formation For Vanderloo Family Medicine, PLLC

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website